Individual
DR. ANDREW WONBIN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2713 MARSHALL CT, MADISON, WI 53705-2255
(608) 442-4400
Mailing address
2713 MARSHALL CT, MADISON, WI 53705-2255
(281) 854-4403
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002090
WI
Other
Enumeration date
06/07/2019
Last updated
10/09/2019
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